Individual
GWENDOLYN G GAVINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7211 W DESCHUTES AVE, STE. E, KENNEWICK, WA 99336-7728
(509) 735-9239
(509) 735-9310
Mailing address
7203 W DESCHUTES AVE, KENNEWICK, WA 99336-7777
(509) 737-1880
(509) 737-1879
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
052069
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000971022A
—
GA
05
—
000971022B
—
GA
Enumeration date
03/02/2006
Last updated
07/12/2010
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